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I hereby affirm under the penalties of penury that the facts and information contained in the foregoing bid <br />for public works are true and correct. <br />Dated this 1 7rr, day of Nov. , 20ya <br />Inc._ _�_/---- <br />or Its <br />Frank A. Marshall, President <br />Printed Name and Title <br />Subscribed and swom to before me this 17th day of Nov. 20 16 <br />MyComrnissionExpires 9/26/2021 <br />Notary Public <br />County of Residence <br />ttttlltll/f/� <br />IR <br />.•'NOTARY S <br />N <br />PU13LI <br />S i Al � % <br />Version 10/18/2016 Contractor's Bid for Public Works - 6 <br />